Nose bridge correction surgery, a specialized form of rhinoplasty, is in high demand in New York City. The city is home to numerous well - reputed hospitals and clinics where experienced surgeons perform this procedure. In this article, we will delve into the details of this surgery, the leading surgeons, and their approaches, as well as the various aspects associated with it.
Understanding Nose Bridge Correction Surgery
Nose bridge correction surgery aims to enhance the appearance and functionality of the nose. It can address a wide range of issues such as a wide nasal bridge, dorsal humps, saddle nose deformities, and breathing problems related to the nasal bridge. Let's take a closer look at some of the common problems and how they are addressed:
Wide Nasal Bridge
In individuals with a wide nasal bridge, the nasal bones are often wide apart, and the height may be excessive. This configuration is common in certain ethnic groups. Management options for a wide nasal bridge include:
- Non - surgical: Injection of facial fillers like Restylane or Juvederm can elevate the height of the nose, creating a perceived narrowing of the bridge. This is a temporary solution that offers a quick and less invasive option.
- Surgical: A closed rhinoplasty procedure can be used. In this approach, the surgeon accesses the nasal bones through the inside of the nostrils and uses a technique called osteotomy to bring the nasal bones closer together. This results in a more narrow and aesthetically pleasing nasal bridge.
Dorsal Hump
A dorsal hump, which is a bulge on the bridge of the nose, is a common aesthetic concern. While it may seem like a simple issue to correct, experienced rhinoplasty surgeons understand the complexity involved. To ensure a proportionate, natural - looking, and functional result, a comprehensive plan may include:
- Performing osteotomies to bring the width of the nose in proportion to the new bridge height.
- Considering the integrity of the middle vault of the nose to determine if spreader grafts are necessary.
- Revising the position and shape of the nose tip to harmonize with the slope of the nose.
Saddle Nose Deformity
A saddle nose deformity occurs when the bridge of the nose is concave rather than straight or convex. It can be caused by trauma, failed rhinoplasty, drug abuse, certain medical conditions, or may be congenital. Surgical correction of a saddle nose deformity involves restoration or augmentation of the nasal bridge:
- In mild cases, a graft of septal cartilage may be sufficient to build the appropriate height of the bridge.
- In more severe cases and those involving the nasal tip, more extensive grafting, such as costal cartilage grafting or the use of a synthetic biocompatible grafting material, may be needed to build a strong bridge for reconstruction.
Well - Reputed Surgeons in New York City
Dr. David Cangello
Dr. David Cangello is a board - certified plastic surgeon in New York City. He is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. His approach to nasal bridge surgery is quite unique:
Preservation Rhinoplasty
Dr. Cangello is among an elite few surgeons to offer preservation rhinoplasty and was one of the first in the U.S. to use this technique. This modern approach preserves as much of the original nasal structure as possible. By retaining the existing tissue, cartilage, and bone, it allows for a natural - looking result, improved nasal function, and a lower risk of complications. Preservation techniques are well - suited for nasal bridge concerns such as removing humps, reshaping the bridge, and correcting minor asymmetries.
Comparison with Traditional Surgery
Preservation rhinoplasty offers several key benefits over traditional nasal bridge surgical techniques. Up to 80% of patients seeking nasal bridge surgery with Dr. Cangello undergo this approach. The main differences include:
Aspect | Preservation Rhinoplasty | Traditional Nasal Bridge Surgery |
---|---|---|
Dorsum Treatment | The dorsum is completely preserved, and there is no need to reconstruct it or use cartilage grafts. Bone and cartilage removal occurs underneath the nose bridge, and the intact dorsum can be repositioned to lower the height, eliminating dorsum irregularities and reducing the need for revision surgeries. | Typically involves shaving down the dorsum, which may lead to dorsum irregularities and a higher chance of requiring additional surgeries. |
Dissection Plane | The perichondrium and the periosteum are left intact. Dissection occurs below these thin tissue layers, preserving the veins, arteries, and lymphatics. This almost eliminates bruising and swelling and shortens the patient's social downtime. | Dissection may occur in a different plane that can disrupt these structures, leading to more bruising and swelling. |
Tip Plasty Approach | Emphasizes a more natural look and helps avoid problems with nose tip proportion that can be tell - tale signs of rhinoplasty. | May not focus as much on achieving a completely natural - looking tip proportion. |
Surgeons at Mount Sinai
At Mount Sinai's division of facial plastic and reconstructive surgery, the goal of rhinoplasty is to create natural, long - lasting results that improve the shape, size, and distinction of the nose. The facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). This means they have in - depth knowledge of both nasal function and aesthetics, ensuring that patients not only get an improved appearance but also better breathing function.
Types of Rhinoplasty
The surgeons at Mount Sinai perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and functional and aesthetic goals:
- Closed (Endonasal) Rhinoplasty: All incisions are made inside the nose. This approach has the advantage of no external scar and a relatively shorter operation time.
- Open (External) Rhinoplasty: A small incision is added at the base of the nose to increase the surgical field of vision. This allows for better visualization of the nasal anatomy and enables more complex alterations and grafting to be performed.
Multidisciplinary Approach
Patients at Mount Sinai have access to a wide range of specialists and subspecialists. For patients with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the surgeons work closely with experts in the division of rhinology and sinus surgery and the head and neck institute. They can even perform combined surgeries when appropriate.
Dr. Barry Weintraub
Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience. He performs rhinoplasty surgery at his New York City office.
Approach to Rhinoplasty
Dr. Weintraub believes in a personalized approach to rhinoplasty. He takes into account the patient's unique facial features, ethnicity, and aesthetic goals. His rhinoplasty procedures can be divided into functional and cosmetic rhinoplasty:
- Functional Rhinoplasty: This addresses breathing problems such as nasoseptal deviation, turbinate hypertrophy, and middle - vault collapse. It is usually insurance - reimbursable and can be done simultaneously with cosmetic changes.
- Cosmetic Rhinoplasty: Deals with aesthetic problems like a hump or bump on the nose, a bulbous tip, a too - wide or too - flat bridge, and more. He can perform rhinoplasty in a closed or open manner, depending on the complexity of the case. For complex secondary and tertiary rhinoplasties, he often uses the open approach to address the sophisticated grafting and manipulation required.
Patient - Centered Care
Dr. Weintraub provides a high level of patient - centered care. During the consultation, he listens to the patient's concerns and expectations. He ensures that the patient has realistic expectations and understands the procedure thoroughly. His operating room has the highest standards, with board - certified anesthesiologists and state - of - the - art monitoring equipment.
Dr. Richard Westreich
Dr. Richard Westreich, a double - board - certified facial plastic surgeon at New Face NY, combines expertise and artistry to achieve natural, harmonious results for every patient. His rhinoplasty procedures are tailored to the individual needs of each patient:
Benefits of Rhinoplasty
Rhinoplasty with Dr. Westreich offers both cosmetic and functional benefits:
Benefit Type | Details |
---|---|
Cosmetic | Reduces the size of the dorsal hump, narrows an overly wide nose structure, refines a large or bulbous nasal tip, corrects a pinched - looking nose tip, reshapes overly large or wide nostrils, improves overall facial harmony and proportionality, and boosts self - confidence. |
Functional | Corrects a deviated septum for better breathing, reduces snoring and mouth - breathing, restores a broken or crooked nose, improves sleep quality, and enhances the overall quality of life. |
Techniques
Dr. Westreich uses various rhinoplasty techniques, including nasal tip plasty, profile plasty, and polish rhinoplasty. He also offers non - surgical rhinoplasty, which involves the injection of hyaluronic acid (HA) fillers. This is a great option for those who want to achieve cosmetic enhancements without permanent adjustments and with less risk and downtime.
Dr. Gary Linkov
Dr. Gary Linkov, a double - board - certified and Ivy League - educated facial plastic surgeon, takes a sophisticated approach to rhinoplasty. He considers ethnic characteristics, cosmetic, and functional imperfections when planning the process and outcome.
Comprehensive Evaluation
Before rhinoplasty, Dr. Linkov conducts a detailed pre - operative systematic analysis. He spends the necessary time on an extensive evaluation of the patient's nasal airways and overall facial structure. He also uses computer imaging to give the patient an idea of the potential outcome, although it is not a guarantee of the final result.
Types of Rhinoplasty
He performs both open and closed rhinoplasty, and the choice of approach depends on the patient's case. Open rhinoplasty allows for a more complex reconstruction and better visualization, while closed rhinoplasty has the advantage of no external scar and can sometimes help the surgeon better judge the outcome during the surgery. Dr. Linkov is skilled in using both techniques and makes the decision based on what is best for the patient.
Dr. Maurice M. Khosh
Dr. Maurice M. Khosh is a double - board certified facial plastic surgeon who is renowned for his work in saddle nose repair. He has extensive experience in completing the needed cartilage harvesting and grafting to restore the support and shape of the nose in patients with saddle nose deformities.
Saddle Nose Repair
Saddle nose repair is a complex procedure, and Dr. Khosh has a special passion for it. He ensures that the repair not only restores the anatomic abnormalities in the nose structure and breathing capabilities but also makes the nose aesthetically balanced with the facial features. His patient - centered approach and excellent surgical skills have earned him many awards and accolades.
Dr. John E. Sherman
Board - certified plastic surgeon Dr. John Sherman has performed numerous rhinoplasty procedures on both men and women. He is dedicated to providing natural - looking results and takes a conservative approach to refine the nose:
Personalized Treatment
Dr. Sherman spends considerable time with each patient to define their aesthetic goals. He avoids the “cookie - cutter” rhinoplasty look and tailors the procedure to the individual patient's needs. He offers both closed and open rhinoplasty approaches, choosing the one that is most appropriate based on the patient's condition.
Anesthesia and Recovery
Rhinoplasty with Dr. Sherman is usually performed under deep intravenous sedation anesthesia or general anesthesia, with a focus on maintaining the patient's airway safety. He provides clear instructions for recovery, including the use of ice compresses to minimize bruising and restrictions on activities such as exercise and wearing eyeglasses during the healing process.
Preparing for Nose Bridge Correction Surgery
Preparing for nose bridge correction surgery is an important step to ensure a successful outcome. Here are some general guidelines:
- Medical Consultation: Schedule a consultation with a qualified surgeon. During this consultation, discuss your medical history, current medications, and any health concerns. The surgeon will also evaluate your nose and discuss your aesthetic and functional goals.
- Stop Smoking: Smoking can impair the healing process, so it is recommended to stop smoking at least two weeks before surgery and continue to avoid it during the recovery period.
- Medication Adjustment: Some medications, such as aspirin, ibuprofen, and certain supplements, can increase the risk of bleeding. Your surgeon may advise you to stop taking these medications before surgery.
- Arrange for Support: Plan to have someone accompany you to and from the surgery and stay with you for at least the first night after the procedure. You may also need help with daily activities during the initial recovery phase.
- Prepare Your Home: Stock up on groceries, prescriptions, and other essentials. Arrange a comfortable place to rest with plenty of pillows to keep your head elevated.
Recovery and Aftercare
The recovery period after nose bridge correction surgery varies depending on the individual and the complexity of the procedure. Here are some common aspects of recovery:
- Swelling and Bruising: Swelling and bruising around the eyes and nose are normal after surgery. They usually peak within the first few days and gradually subside over several weeks. Cold packs can help reduce swelling, and your surgeon may recommend certain medications to manage pain and swelling.
- Splint and Sutures: A splint will be placed on your nose to support the new structure and help it heal properly. The splint is usually removed after about a week. Dissolvable stitches may be used internally, while non - dissolvable sutures on the outside of the nose are typically removed within 5 to 7 days.
- Activity Restrictions: You will need to avoid strenuous activities, such as exercise and heavy lifting, for several weeks after surgery. You may also need to avoid wearing glasses on your nose for a few weeks to prevent pressure on the healing area.
- Follow - up Appointments: Regular follow - up appointments with your surgeon are essential to monitor your healing progress and address any concerns. Your surgeon will provide specific instructions on aftercare, including nasal cleansing, using nasal sprays, and applying ointments if necessary.
Cost and Insurance Coverage
The cost of nose bridge correction surgery in New York City can vary depending on several factors, such as the surgeon's experience, the complexity of the procedure, and the facility where the surgery is performed. The range can be from $5000 to $25000, plus additional fees for the operating room and anesthesia. Revision rhinoplasty surgery costs are typically 20% to 30% higher for the surgeon's fee.
Insurance coverage for nose bridge correction surgery also varies. Cosmetic rhinoplasty is generally not covered by insurance. However, if the surgery is performed to correct a breathing problem, such as a deviated septum, a portion of the procedure may be eligible for insurance coverage. It is important to check with your insurance provider and work with your surgeon's office to determine the pre - certification and reimbursement process.
Conclusion
New York City offers a wealth of options for nose bridge correction surgery. The well - reputed surgeons and hospitals in the city have the expertise and experience to perform this procedure with excellent results. Whether you are looking to improve the appearance of